JOSHUA CARLSON M.D.
NPI 1891074936
Family Medicine in Clifton Park, NY

Q: What is Joshua Carlson's NPI number?

The NPI number for Joshua Carlson is 1891074936. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Q: What is Joshua Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Carlson was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 08, 2011PECOS EnrolledAccepts Medicare Assignment

103 SITTERLY RD, SUITE 2300, CLIFTON PARK, NY 12065(518) 579-2650(518) 579-2670 Get Directions Write a Review

NPPES record last updated: December 18, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Joshua Carlson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSHUA CARLSON M.D. (NPI 1891074936) is an individual family medicine provider in Clifton Park, New York, licensed in New York (276179) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and maintains a secondary practice location in Clifton Park.

NPPES Registry Identity

NPI1891074936

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJOSHUA CARLSONCredential: M.D.

Location Address103 SITTERLY RD, SUITE 2300Clifton Park, NY 12065-5612

Mailing Address600 Mcclellan StSchenectady, NY 12304-1009 · (518) 382-2217 · Fax (518) 347-5280

Phone(518) 579-2650

Fax(518) 579-2670

Sole ProprietorNo

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2011

Enumeration DateAugust 8, 2011

Last NPPES UpdateDecember 18, 2017

✔ NPI 1891074936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 276179

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

103 SITTERLY RD, Clifton Park, NY 12065

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Secondary Practice Location 1

Location 1103 Sitterly Rd, Suite 2300Clifton Park, NY 12065-5612 · Phone (518) 579-2650 · Fax (518) 579-2670

Other Identifiers 1

Medicaid03941499NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joshua Carlson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416178066

PECOS Enrollment IDI20141023000534

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Joshua Carlson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ellis Hospital

7.6 mi

General Acute Care Hospital

1101 NOTT ST
Schenectady, NY 12308

Reassigned Medicare billing, New York enrollment
462 clinicians in this Medicare group

NPI 1487644993 (518) 243-4000

St Marys Healthcare

23 mi

General Acute Care Hospital

427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St. Mary's Healthcare
144 clinicians in this Medicare group

NPI 1518926401 (518) 841-7407

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

201 services106 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services60 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

22 services22 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services12 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330276

Location99 East State StreetGloversville, NY 12078 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers17 claims2,638 services$0.03 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers12 claims12 services$209.42 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers11 claims11 services$23.66 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ORTHOPEDICSNY, LLP

Orthopaedic Surgery

103 SITTERLY RD
HALFMOON, NY 12065

Saratoga County (518) 688-0247

MONICA STEPHANIE CHILLIANIS PA-C

Physician Assistant

103 SITTERLY RD
HALFMOON, NY 12065

Saratoga County (518) 581-2860

ORTHONY PHYSICAL THERAPY

Orthopaedic Surgery

103 SITTERLY RD
HALFMOON, NY 12065

Saratoga County (518) 453-9088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joshua Carlson's NPI number?

The NPI number for Joshua Carlson is 1891074936. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Joshua Carlson located?

Joshua Carlson practices at 103 Sitterly Rd Suite 2300, Clifton Park, NY 12065. The listed phone number is (518) 579-2650.

What is Joshua Carlson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Carlson enrolled in Medicare?

Yes. Joshua Carlson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joshua Carlson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Carlson reassigns Medicare benefits to 2 organizations: Ellis Hospital (Schenectady, NY) and St Marys Healthcare (Amsterdam, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joshua Carlson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Joshua Carlson affiliated with any hospitals?

According to CMS data, Joshua Carlson is affiliated with St Mary's Healthcare, Ellis Hospital and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Carlson was last updated on December 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.